Elena Fitchev, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036092221 Issued in IL

Practice address

800 Austin St Ste 502W
Evanston, IL 60202-3445

Phone

(847) 328-3213

Fax

(847) 328-2871

NPI assigned

Nov 22, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1982779047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 502W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023445",
            "telephone_number": "847-328-3213",
            "fax_number": "847-328-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST STE 502W",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023445",
            "telephone_number": "847-328-3213",
            "fax_number": "847-328-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITCHEV",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036092221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1627173",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092221",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Fisher, PH.D.
• Eva Fisher
• Joel B Fisher, M.D.
• Kimberly Spahr Fisher, LCPC
• Gwendolyn Mason Fiske, PH.D.
• Sarah Fitzgerald
• Five Phase Wellness Center, LLC
• Hayley Cameron Fivecoat, PH.D.
• Sheila F. Flaherty, PH.D.
• Judith Flaxman, PH.D.

• Family Medicine Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.